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MAYRA FRUTOS MFT
NPI 1164704854
Marriage & Family Therapist in Las Vegas, NV

Active since September 19, 2011PECOS Enrolled
1901 S JONES BLVD, LAS VEGAS, NV 89146(702) 815-1550 Get Directions Write a Review

NPPES record last updated: January 16, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mayra Frutos Mft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAYRA FRUTOS MFT (NPI 1164704854) is an individual marriage & family therapist in Las Vegas, Nevada and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164704854
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMAYRA FRUTOSCredential: MFT
Location Address1901 S JONES BLVDLas Vegas, NV 89146-1260
Mailing Address1901 S Jones BlvdLas Vegas, NV 89146-1260
Phone(702) 815-1550
Sole ProprietorNo
Enumeration DateSeptember 19, 2011
Last NPPES UpdateJanuary 16, 2019
✔ NPI 1164704854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedRehabilitation PractitionerTaxonomy 225400000X
1901 S JONES BLVD, Las Vegas, NV 89146
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayra Frutos Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Mayra Frutos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Valley Counseling Center, LLC
2.3 mi
Mental Health
3230 S BUFFALO DR STE 107
Las Vegas, NV 89117
  • Reassigned Medicare billing, Nevada enrollment
  • 7 clinicians in this Medicare group
NPI 1275030777 (702) 606-2230
Serenity Mental Health
3.0 mi
Mental Health
1901 S JONES BLVD
Las Vegas, NV 89146
  • Reassigned Medicare billing, Nevada enrollment
  • 15 clinicians in this Medicare group
NPI 1497047203 (702) 815-1550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHENOA HALL
Psychologist (Rehabilitation)
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
YVONNE JACKSON
Counselor (Mental Health)
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
LA JUANA BROOKS
Counselor (Mental Health)
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
MELINDA S BRADLEY MFT-INTELADC-INTERN
Marriage & Family Therapist
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
SERENITY
Clinical Medical Laboratory
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
GOERGETTA FRAZIER
Behavior Analyst
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
HOLLY QUICK
Counselor (Mental Health)
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550
TATEVIK ALFEROVA
Registered Nurse
1901 S JONES BLVD
LAS VEGAS, NV 89146
Clark County (702) 815-1550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mayra Frutos's NPI number?

The NPI number for Mayra Frutos is 1164704854. It was assigned to this individual provider in the NPPES registry on September 19, 2011.

Where is Mayra Frutos located?

Mayra Frutos practices at 1901 S Jones Blvd, Las Vegas, NV 89146. The listed phone number is (702) 815-1550.

What is Mayra Frutos's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Mayra Frutos enrolled in Medicare?

Yes. Mayra Frutos is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mayra Frutos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayra Frutos reassigns Medicare benefits to 2 organizations: Valley Counseling Center, LLC (Las Vegas, NV) and Serenity Mental Health (Las Vegas, NV). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mayra Frutos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mayra Frutos accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Mayra Frutos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mayra Frutos was last updated on January 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.